MS. KATHLEEN CHIN (M.D.) – Obstetrics & Gynecology Physician, NPI 1497077218
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,037 OBSTETRICS/GYNECOLOGY in WA
Provider Addresses for MS. KATHLEEN CHIN (M.D.)
3425 ENSIGN RD NE STE 220
OLYMPIA, WA 985065063
Phone: (360) 493-4015
Fax: (604) 937-4723
Type: Location
PO BOX 3360
PORTLAND, OR 972083360
Phone:
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
UT SOUTHWESTERN MEDICAL CENTER
DALLAS, TX 753909032
Phone: (214) 648-3111
Fax: (214) 648-9119
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $2,056.
Total Amount is formed as General ($2,056) + Research ($0) + Ownership ($0) = $2,056.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,056).
Total Amount
$2,056
General + Research + Ownership
Payments
5
Total payment records
General Amount
$2,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,056 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151019001172 | I | Obstetrics/Gynecology | CA | TBD |
| I20240814004786 | I | Obstetrics/Gynecology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WA | |
| Gynecological Oncology, Obstetrics/Gynecology | CA | |
| - | OR | |
| Certified Nurse Midwife (Cnm) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | WA | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA |
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